Blaine County

NPI #1083614036 in Ketchum, Idaho

Provider Information

NPI Number: 1083614036
Entity Type: Organization
Organization Name: Blaine County
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Jul 29, 2005
Last Updated: Dec 17, 2019

Practice Location

Address: 480 E AVENUE N
City: Ketchum
State: Idaho
ZIP Code: 83340
Phone: (208) 788-5505

Authorized Official

Name: JOLYNN DRAGE
Title: CLERK, AUDITOR AND RECORDER
Phone: (208) 788-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance - Land Transport — Land Transport	3416L0300X	Primary

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